Yan Liu, Mingxin Cao, Jiashun Wu, Xiaolei Gao, Xinhua Liang
State Key Laboratory of Oral Diseases, National Clinical Research Center for Oral Diseases, Dept. of Oral and Maxillofacial Surgery, West China Hospital of Stomatology, Sichuan University, Chengdu 610041, China.
Hua Xi Kou Qiang Yi Xue Za Zhi. 2017 Jun 1;35(3):301-310. doi: 10.7518/hxkq.2017.03.014.
To analyze the current status of research on human papillomavirus (HPV)-associated head and neck cancers in China using national and international references.
We searched for bibliographies in the electronic databases of Sichuan University, including Chinese Biological and Medical Database (CBM), China Science and Technology Journal Database (VIP), and Wanfang Journal Database. Then, data was selected and extracted to analyze the basic characteristics of HPV-related head and neck cancers, the general prevalence of HPV, and the effects of various clinic pathological indicators on HPV patients.
RESULTS: The general prevalence of HPV was 34.05% among civil patients with head and neck cancers. Our analysis of different clinical and pathological indices that affect HPV-associated oral squamous cell carcinomas revealed that non-smoking and non-drinking groups had higher HPV infection rates compared with smoking (P=0.002) and drinking (P< 0.005) groups. In addition, N2-N3 stage patients had higher detectable rates than N0-N1 stage patients (P=0.027).
CONCLUSIONS: The majority of civil research studies on HPV-associated head and neck cancers are concentrated on clinical studies. Thus, the molecular neuropathology and signaling pathway of HPV should be further explored in the future to advance prognostic methods. Moreover, the perspective view of therapeutic vaccines and molecular-targeting treatments should receive close attention. .
利用国内外参考文献分析中国人类乳头瘤病毒(HPV)相关头颈癌的研究现状。
我们在四川大学的电子数据库中检索文献目录,包括中国生物医学文献数据库(CBM)、中国科技期刊数据库(维普)和万方期刊数据库。然后,筛选并提取数据,以分析HPV相关头颈癌的基本特征、HPV的总体患病率以及各种临床病理指标对HPV患者的影响。
头颈癌患者中HPV的总体患病率为34.05%。我们对影响HPV相关口腔鳞状细胞癌的不同临床和病理指标进行分析后发现,与吸烟组(P=0.002)和饮酒组(P<0.005)相比,不吸烟和不饮酒组的HPV感染率更高。此外,N2-N3期患者的检出率高于N0-N1期患者(P=0.027)。
国内关于HPV相关头颈癌的研究大多集中在临床研究。因此,未来应进一步探索HPV的分子神经病理学和信号通路,以改进预后方法。此外,治疗性疫苗和分子靶向治疗的前景应受到密切关注。